Nurse Practitioner, Family
ANASTASIA DEROUSSEL NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1548793631 · enumerated 2017-04-06 · record updated 2023-03-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1202 W CHEROKEE ST STE G, WAGONER, OK, 74467-4629 (918) 914-5533 Fax (918) 485-6020 Google Maps Apple Maps OpenStreetMap
- Mailing address 1200 W CHEROKEE ST, WAGONER, OK, 74467-4624 (918) 485-5514 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License 727314-1 NY
- Nurse Practitioner, Family 363LF0000X · License F341382-1 NY
- Nurse Practitioner, Gerontology 363LG0600X · License R0129494 OK
- Nurse Practitioner, Family 363LF0000X · Primary · License R0129494 OK
In this directory
Locations and evidence
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Practice location
WAGONER, OK, 744674629
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.